Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.30 / $707.51 / $755.79	Professional		$617.30	$707.51	$755.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $698.88 / $711.11 / $809.20	Professional		$698.88	$711.11	$809.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.41 / $892.36 / $1,647.66	Professional		$625.41	$892.36	$1,647.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.52 / $944.95 / $1,254.51	Professional		$732.52	$944.95	$1,254.51
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.50 / $748.64 / $1,477.40	Professional		$524.50	$748.64	$1,477.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $598.28 / $842.40 / $1,034.79	Professional		$598.28	$842.40	$1,034.79